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Related Experiment Videos

Pseudo-Bouveret's syndrome.

Joe P Y Ha1, Chung Ngai Tang, Michael K W Li

  • 1Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong SAR, China. hapy@netvigator.com

Asian Journal of Surgery
|November 27, 2004
PubMed
Summary

A gallstone caused gastric outlet obstruction, mimicking Bouveret's syndrome. Laparoscopic cholecystectomy successfully treated the patient by removing the extrinsic compression.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Gallstone disease is common.
  • Gastric outlet obstruction (GOO) presents with varied etiologies.
  • Bouveret's syndrome, a rare form of GOO, involves a gallstone eroding into the duodenum.

Observation:

  • A patient presented with clinical and imaging findings suggestive of Bouveret's syndrome.
  • The obstruction was caused by a gallstone.
  • No cholecystoduodenal fistula was identified.

Findings:

  • The gastric outlet obstruction was due to extrinsic compression by a gallstone.
  • Absence of a cholecystoduodenal fistula was confirmed.
  • Laparoscopic cholecystectomy was performed.

Implications:

  • This case highlights that gallstones can cause GOO via extrinsic compression, mimicking internal fistula formation.
  • Accurate diagnosis is crucial for appropriate management.
  • Laparoscopic cholecystectomy is an effective treatment for gallstone-induced GOO.

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